Are there any exceptions to the laws requirements?
There are only two exceptions, as follows: 1. State laws do not apply to Medicare or other federal programs, so the requirements do not apply in these cases. 2. A one-year exception has also been authorized, and granted to all non-HIPAA covered entities (workers compensation, auto, and property/casualty carriers) and only for the eligibility inquiry and response transaction. The exception also applies to providers in those situations where they cannot exchange the eligibility inquiry and response transaction because the responder is an exempt non-HIPAA covered group purchaser. This exception was authorized only because the ANSI ASC X12 270/271 Eligibility Inquiry and Response lacks certain data fields required by these carriers to conduct business.
